The relationship between illness representations, risk perception and fear of cancer recurrence in breast cancer survivors

Freeman-Gibb, Laurie; Janz, Nancy K.; Katapodi, Maria C.; Zikmund‐Fisher, Brian J.; Northouse, Laurel

doi:10.1002/pon.4143

Cited by 51 publications

(83 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Worry about recurrent disease is likely to be underpinned by the specific interpretations that patients make. For example, a study of breast cancer survivors suggests that patients may see symptoms and functional problems as early manifestations of recurrent disease or as reminders of feelings of risk or vulnerability associated with their cancer experience.…”

Section: Discussionmentioning

confidence: 99%

“…Worry about recurrent disease is common among survivors and usually arises months or years after diagnosis and treatment . Symptoms and functional problems could induce WREC because they create fears of further disease or because they remind patients of their recent cancer experience . Worry about recurrent disease has frequently been linked to anxiety and depression, but again studies are cross‐sectional so it is unclear whether WREC is a cause or a consequence of anxiety or depression.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of anxiety and depression 2 years following treatment in uveal melanoma survivors

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of anxiety and depression 2 years following treatment in uveal melanoma survivors

et al. 2018

View full text Add to dashboard Cite

show abstract

“…A large body of work has also shown illness perceptions to be predictive of psychological distress and adjustment to cancer . For example, perceiving more severe consequences and seeing one's disease as chronic are associated with greater distress, depression, anxiety, and fear of recurrence . In contrast, having a better understanding of one's disease and perceiving greater control over one's cancer were linked to less distress and better social, emotional, and functional well‐being …”

Section: Introductionmentioning

confidence: 99%

Illness perceptions predict health practices and mental health following hematopoietic stem cell transplantation

et al. 2019

View full text Add to dashboard Cite

Objective Beliefs about illness have been shown to shape health practices and coping efforts. The present study investigated illness perceptions among patients undergoing hematopoietic stem cell transplant (HSCT). We also examined the extent to which perceptions predicted health practices and mental health following transplant. Methods Participants (N = 332) completed measures of illness perceptions (beliefs about cancer consequences and course, personal and treatment control over cancer, and understanding of one's cancer) prior to HSCT. Health practices (diet, physical activity, and alcohol use) and mental health (depression, anxiety, and psychological well‐being) were assessed pre transplant and at 1, 3, 6, and 12 months post transplant. Results On average, HSCT recipients felt they understood their cancer, viewed their cancer to be a chronic condition with severe consequences, and believed they had moderate personal control over their cancer but that medical treatment provided more control. Perceptions varied by transplant type. Mixed‐effects linear regression models revealed that HSCT recipients who perceived the consequences of their cancer to be more serious experienced more depression and anxiety, less well‐being, and ate a healthier diet, but were less physically active during the year following transplant. Those with greater personal and treatment control ate a healthier diet and reported greater well‐being. Patients with a better understanding of their cancer also ate a healthier diet and reported less depression, less anxiety, and greater well‐being. Conclusions Perceptions of cancer shape HSCT recipients' health practices and psychological well‐being during the critical first year of recovery after transplant.

show abstract

“…Primary appraisals include YBCS’ and relatives’ assessment of stressors associated with early onset breast cancer, for example, cost of health care. Primary appraisals may interfere with the ability to withstand stress because they can exacerbate YBCS’ depression and fear of cancer recurrence, and increase relatives’ perceived breast cancer risk . Initial appraisals are followed by appraisals about the availability of personal (eg, self‐efficacy for managing breast cancer) and social coping resources (eg, family support) that can help manage the health threat.…”

Section: Introductionmentioning

confidence: 99%

Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives

et al. 2018

Self Cite

View full text Add to dashboard Cite

ObjectiveWomen diagnosed with breast cancer younger than 45 years (young breast cancer survivors—YBCS) and their biological relatives face significant stressors. Although family support is an important coping resource, little is known about YBCS’ and relatives’ support and whether it is interdependent. The study described family support in YBCS and their biological relatives; identified demographic, clinical, and psychosocial predictors of support; and determined the interdependence of support in YBCS‐relatives family units.MethodsData were collected from a random sample of YBCS and their first‐ or second‐degree female relatives. Actor‐partner interdependence models (APIM) explored predictors and interdependence of YBCS’ and relatives’ family support in dyads (YBCS and relative) and triads (YBCS and two relatives).ResultsAmong n = 310 YBCS and n = 431 first‐ or second‐degree relatives, family support was higher in triads compared to dyads. APIMs identified actor effects in dyads, and actor and partner effects in triads. Across all family units, YBCS’ higher self‐efficacy was associated with higher YBCS support (actor effect) and relative support (partner effect); YBCS’ prior diagnosis of depression was associated with lower YBCS and relative support (actor and partner effect); cost‐related lack of access to care was associated with lower support among YBCS (actor effect) and relatives (actor and partner effect).ConclusionsFamily support was interdependent and was affected by self‐efficacy, depression, and access to care. Interventions should include YBCS and relatives, enhance self‐efficacy and access to care.

show abstract

The relationship between illness representations, risk perception and fear of cancer recurrence in breast cancer survivors

Cited by 51 publications

References 36 publications

Predictors of anxiety and depression 2 years following treatment in uveal melanoma survivors

Predictors of anxiety and depression 2 years following treatment in uveal melanoma survivors

Illness perceptions predict health practices and mental health following hematopoietic stem cell transplantation

Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives

Contact Info

Product

Resources

About